Nicholette Shawn, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT84472 Issued in TX

Practice address

9535 Forest LN
Dallas, TX 75243-5900

Phone

(817) 793-1670

NPI assigned

Mar 9, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radishing Recovery Nutrition Counseling

  • Health Service Clinic/Center
  • Dallas, TX
  • NPI 1487280327
  NPD Authorized official
• Seeds Nutrition Counseling LLC

  • Registered Dietitian
  • Dallas, TX
  • NPI 1598390874

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1124653233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 FLAMINGO DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125513",
            "telephone_number": "817-793-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 FOREST LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435900",
            "telephone_number": "817-793-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWN",
        "first_name": "NICHOLETTE",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Velma Shaw
• Whitney Wilkerson Shaw, MSN, APRN NP-C
• Yasmine Shawahin
• Shawn Bonsell MD PA
• Shawn M. Cole, M.D. P.C.
• Elizabeth Ann Shay
• Shervin Shayegan
• Lida Shaygan
• Kiya Shazadeh Safavi, MD
• Ginette Shea, CNS-AD

• Registered Dietitian in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.